ADDISON SCHWALLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007732

License Status

NOT RENEWED

Business

First Name

ADDISON

Last Name

SCHWALLER

Business Name

ADDISON SCHWALLER

Original Issue Date

06/10/2020

Effective Date

06/10/2020

Expiration Date

03/01/2022

City

KOKOMO

State

Zip

46901

Ever Disciplined

LastModifiedDate

07/27/2022